ICD-10 Coding for Premature Ejaculation(F52.4)
Complete ICD-10-CM coding and documentation guide for Premature Ejaculation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Premature Ejaculation
F52.4Primary Range
Sexual dysfunction not due to a substance or known physiological condition
This range includes premature ejaculation, which is a primary sexual dysfunction.
Male sexual dysfunctions and disorders
Includes codes for erectile dysfunction and other male sexual disorders, which may be related to or confused with premature ejaculation.
Key Information: ICD-10 code for premature ejaculation
Essential facts and insights about Premature Ejaculation
Primary ICD-10-CM Code for premature ejaculation
Decision Criteria
clinical Criteria
- Patient reports ejaculation within 1 minute in ≥75% of encounters.
documentation Criteria
- Document patient distress and duration of symptoms.
Applicable To
- Lifelong premature ejaculation
- Acquired premature ejaculation
Excludes
- Ejaculatory dysfunction (N53.1)
Clinical Validation Requirements
- Ejaculation occurs ≤1 minute after vaginal penetration
- Persistent for >6 months
- Causes significant distress
Code-Specific Risks
- Incorrectly coding as N53.1
- Lack of documentation for distress or duration
Coding Notes
- Ensure documentation includes IELT, control, distress, and duration.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Erectile dysfunction, unspecified
N52.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Premature Ejaculation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F52.4.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with DSM-5 criteria., Financial: Potential claim denials due to insufficient documentation.
Mitigation Strategy
Ensure documentation includes patient-reported distress.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with ICD-10 coding standards., Data Quality: Inaccurate data on sexual dysfunction prevalence.
Mitigation Strategy
Ensure documentation supports the use of F52.4 by meeting DSM-5 criteria.
Impact
Failure to document all DSM-5 criteria for premature ejaculation.
Mitigation Strategy
Use standardized templates to ensure all criteria are documented.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Premature Ejaculation, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Premature Ejaculation
Use these documentation templates to ensure complete and accurate documentation for Premature Ejaculation. These templates include all required elements for proper coding and billing.
Lifelong Premature Ejaculation
Specialty: UrologyRequired Elements
- Ejaculation latency time
- Patient distress
- Duration of symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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